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Organization

EDUCATION SOLUTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERONICA MARTINEZ LCSW (SOCIAL WORKER)
(773) 818-8598
Entity
Organization

Contact information

Practice address
4145 W HENDERSON ST, CHICAGO, IL 60641-4624
(773) 818-8598
Mailing address
4145 W HENDERSON ST, CHICAGO, IL 60641-4624
(773) 818-8598

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
149013793
IL

Other

Enumeration date
01/04/2012
Last updated
01/04/2012
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